76 lines
1.5 KiB
Mathematica
76 lines
1.5 KiB
Mathematica
DVBCWCS1 ;ALB/CMM CUSHING'S SYNDROME WKS TEXT - 1 ; 5 MARCH 1997
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;;2.7;AMIE;**12**;Apr 10, 1995
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;
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;
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TXT ;
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;;A. Review of Medical Records:
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;;
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;;
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;;
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;;B. Medical History (Subjective Complaints):
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;;
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;; Comment on:
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;; 1. Date diagnosis established.
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;;
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;;
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;; 2. Weakness or fatigability.
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;;
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;;
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;; 3. Etiology ? Iatrogenic?
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;;
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;;
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;; 4. Treatments (surgery, medication, etc.), dose, frequency,
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;; response, side effects.
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;;
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;;
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;;C. Physical Examination (Objective Findings):
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;;
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;; Address each of the following and fully describe current findings:
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;; 1. Muscle strength.
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;;
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;;
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;; 2. Vascular fragility.
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;;
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;;
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;; 3. Gastrointestinal.
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;;
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;;
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;; 4. Blood Pressure.
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;;
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;;
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;; 5. Striae.
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;;
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;;
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;; 6. Weight gain or loss (weigh patient).
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;;
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;;
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;; 7. Moonface.
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;;
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;;
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;; 8. Glucose metabolism.
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;;
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;;
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;; 9. After control, describe adrenal insufficiency, cardiovascular,
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;; psychiatric, skin, or skeletal complications or residuals.
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;;
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;;
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;;D. Diagnostic and Clinical Tests:
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;;
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;; Provide:
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;; 1. CT of brain or X-ray of sella turcica.
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;; 2. Serum and urine cortisol levels.
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;; 3. High and low dose dexamethasone suppression test.
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;; 4. X-rays if osteoporosis suspected.
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;; 5. Include results of all diagnostic and clinical tests conducted
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;; in the examination report.
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;;
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;;
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;;E. Diagnosis:
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;;
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;; Comment on:
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;; 1. Is the disease active or in remission?
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;;
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;;
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;;Signature: Date:
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;;END
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